NPIMap

Organization Active NPI

DO Not Use

  • Primary Care Clinic/Center
  • Plano, TX
National Provider Identifier
1952582371
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DO NOT USE
Practice address
3320 Avenue K
Plano, TX 75074-2306
Phone
(972) 423-7174
Fax
(972) 424-6039
NPI assigned
Nov 15, 2007
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Krusely
Title
Account Manager
Phone
(847) 838-3832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3320 Avenue K
Plano, TX 75074-2306

Mailing address

1231 Greenway Dr
Suite 120
Irving, TX 75038-2533
Phone (972) 580-7700

National Provider Directory

National Provider Directory
Tax ID family
Department of Navy National Naval Medical Center107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1952582371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 GREENWAY DR",
            "address_2": "SUITE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382533",
            "telephone_number": "972-580-7700",
            "fax_number": "972-580-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 AVENUE K",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750742306",
            "telephone_number": "972-423-7174",
            "fax_number": "972-424-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO NOT USE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "KRUSELY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "847-838-3832"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.